League General Insurance v. Catastrophic Claims Ass'n

418 N.W.2d 708, 165 Mich. App. 278
CourtMichigan Court of Appeals
DecidedDecember 21, 1987
DocketDocket 93744
StatusPublished
Cited by9 cases

This text of 418 N.W.2d 708 (League General Insurance v. Catastrophic Claims Ass'n) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
League General Insurance v. Catastrophic Claims Ass'n, 418 N.W.2d 708, 165 Mich. App. 278 (Mich. Ct. App. 1987).

Opinion

Beasley, J.

Defendant, Catastrophic Claims Association (cca), appeals from a June 12, 1986, order holding that it was a state agency under the Administrative Procedures Act, 1 that its plan of operation was null and void and of no effect because it was not properly promulgated under the apa, and that premium assessments charged member insurers under the plan of operation were unenforceable until defendant adopted valid rules under the apa. Plaintiff, League General Insurance Company, cross-appeals from several adverse holdings of the same order. We affirm the trial court on all issues.

The cca is an unincorporated nonprofit association created pursuant to § 3104 of the Insurance Code 2 to indemnify insurance companies for catastrophic claims or the ultimate loss sustained under personal protection insurance coverages in *282 excess of $250,000. Each insurer writing automobile no-fault insurance in Michigan must belong to the cca. The cca is authorized to assess premiums against each member insurer to cover the expected cost of catastrophic claims and the cca’s expenses. The insurers may charge each policyholder directly for the cca assessment.

Plaintiffs complaint alleged that the cca assessed arbitrary and unreasonable premiums, that § 3104 unconstitutionally delegated power and violated the title-object rule, 3 and that the cca violated due process rights to notice and hearing of the member insurers. Michigan Mutual Insurance Company, 4 in a similar action which was tried jointly with League General’s, alleged that the cca was a state agency under the apa, and that the cca’s plan of operation was invalid because it was not properly promulgated under the apa.

The trial court incorporated its 1981 order for summary judgment into its final opinion and order, ruling: (1) plaintiff had the burden of proving that the cca assessed arbitrary and unreasonable premiums and had failed to carry that burden; (2) § 3104 did not violate the title-object rule; (3) § 3104 did not unconstitutionally delegate power to the cca; (4) the cca’s identical assessment rates for coordinated and uncoordinated benefit policies did not deny plaintiff equal protection; (5) the cca properly could assess premiums to cover anticipated as well as actual losses; (6) the cca is a state *283 agency under the apa, making its plan of operation null and void under the apa; (7) the cca could not levy premiums against plaintiffs until it properly promulgated the plan of operation; and (8) the cca’s counter-claim to collect plaintiff League General’s unpaid premiums was dismissed with prejudice.

We first address the issues raised in the cca appeal.

I. Is the cca a state agency bound by the rule-making procedures of the apa? Chapter 3 of the apa 5 contains the rule-making procedures which every state agency must follow. MCL 24. 203; MSA 3.560(103) defines the agencies to which the apa applies:

(2) "Agency” means a state department, bureau, division, section, board, commission, trustee, authority or officer, created by the constitution, statute, or agency action. It does not include an agency in the legislative or judicial branches of state government, the governor, an agency having direct governing control over an institution of higher education, or the state civil service commission.

MCL 24.207; MSA 3.560(107) defines the rules which must be adopted pursuant to apa procedures:

"Rule” means an agency regulation, statement, standard, policy, ruling or instruction of general applicability, which implements or applies law enforced or administered by the agency, or which prescribes the organization, procedure or practice of the agency, including the amendment, suspension or rescission thereof, but does not include the following: ....

*284 The apa applies to all agencies and agency proceedings not expressly exempted. 6

While it is true, as the cca argues, that the apa definition of agency does not include "associations,” it does include "boards.” The catastrophic claims statute creates a board of directors, a body specifically included within the statutory definition of agency. That alone leads to the conclusion that the cca’s board of directors, in effect the association itself, must abide by the apa. Additionally, we agree with the reasoning of the trial court, which applied the test of Advisory Opinion re Constitutionality of PA 1966, No 346: 7

We must, as has been stated, look behind the name to the thing named. We must examine its character, its relations, and its functions to determine, indeed, whether it is an agency or instrumentality of State government. This examination leads us to a consideration of the purposes sought to be accomplished by the law. If those purposes are public purposes, if the work of the entity is a public work, then the State housing development authority is a State agency ....

In Hanselman v Wayne Co Concealed Weapon Licensing Bd, 8 the Supreme Court applied the Constitutionality test to determine whether the Wayne County Concealed Weapon Licensing Board was a state, as opposed to a local, agency. Here, we apply the test and find the cca to be a state agency. An examination of the cca’s character and relation to the state reveals that the association was created by statute, 9 that the Commissioner of *285 Insurance appoints the directors and serves as ex officio member of the board of directors, and that the cca levies mandatory assessments against its members and has the power to adopt rules and hear complaints. Its character and relation to the state appear to be those of a state agency. Finally, the cca’s function reveals characteristics of a state agency as well. The cca’s purpose is to maintain a statewide system to provide no-fault automobile insurers indemnification for catastrophic claims. The association protects policyholders from insolvent insurers.

Having determined that the cca is a state agency, we find no express exception to the apa. 10 We further find the cca’s plan of operation fits the apa definition of a rule. The plan of operation is a "policy ... of general applicability, which implements or applies law enforced or administered by the agency, or which prescribes the organization, procedure, or practice of the agency.”

Finally, the cca’s plan of operation must be repromulgated as a rule to be effective. The Attorney General argues that this is nonsensical because the article of the plan of operation dealing with premiums 11

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Bluebook (online)
418 N.W.2d 708, 165 Mich. App. 278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/league-general-insurance-v-catastrophic-claims-assn-michctapp-1987.